Figure 5: Intraoperative pictures showing 1. Midline incision, 2. Exposure of lamina and pedicles of C2 vertebra and occiput below superior nuchal line, 3. C2 pedicle screws inserted, 4. Occipital plate fixed below superior nuchal line, 5. Connecting rods attached on both sides, and 6. Onlay bone allografting done after placing in antibiotic solution